| NPI | 1063948347 |
|---|---|
| Former Name | KAYLA JUNE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA lh61228496) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2022-06-06 |